Consulting Services

CONSULTING SERVICES

Experience, confidentiality, the right team plus proven software

Since 1983 we have been helping physicians to operate practices as a business, over 500 Medicare and Medicaid audits have given us the knowledge to develop the AccuChecker Product Line including Claims Scrubbers and for the 10 years we have been involved in HMOs Risk Management and have developed the MCAR Reports – Managed Care Reports.

HEDIS

HEDIS stands for Healthcare Effectiveness Data and Information Set which is a widely used set of performance measures in the managed care industry. HEDIS was developed and maintained by the National Committee for Quality Assurance (NCQA).

HEDIS reporting is mandated by NCQA and the Centers for Medicare & Medicaid Services (CMS) for accreditation and regulatory compliance. It is important that health care providers and staff become familiar with HEDIS to understand what health plans are required to report in order to improve the quality of patient care.

Quality Programs

The Quality Payment Program makes Medicare better by helping you focus on care quality and the one thing that matters most – making patients healthier. The Quality Payment Program ends the Sustainable Growth Rate formula and gives you new tools, models, and resources to help you give your patients the best possible care. You can choose how you want to take part based on your practice size, specialty, location, or patient population.

The Quality Payment Program has 2 tracks you can choose from:

·         The Merit-based Incentive Payment System (MIPS)

·         Advanced Alternative Payment Models (APMs)

Closing or Selling Your Practice

Are you thinking about closing or selling your medical practice? Several things must be considered when making such a career-changing decision. There are rules and requirements from the States Medical Board and guidance from the Texas Medical Association. If you will be retiring, you also may wish to talk with HPP Management Group, Corp., to discuss options for retiring physicians.

KEY:  Complaince is mandated avoid Penalties

Additional Services:

·         Risk Management

·         Medicare and/or Medicaid Audits

·         Billing and Coding

·         Practice Management

·         Provider Credentialing

·         Provider Contracting

·         Risk Management

·         Provider Registration

o   CMS ( Medicare and/or Medicaid

o   Health Plans

o   CAQH

For more details call HPP Management Group, Corp.

Paul G. Silverio-Benet

psilben@hppcorp.com    or  psilben@gmail.com

305-227-2383   or  305-975-1171